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NPI Code Detail

MEDICARE: ANNA NADYA VAVRA NP

MEDICARE: ANNA NADYA VAVRA NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerAPN.0998969-NPCO

General Provider Information

NPI Number : 1306527999
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA NADYA VAVRA NP
Provider Business Mailing Address
First Line : 1735 S PUBLIC RD STE 203
Second Line :
City : LAFAYETTE
State : CO
Zip : 80026-7093
Country : US
Telephone Number : 303-665-3036
Fax Number :
Provider Business Practice Location Address
First Line : 1701 W 72ND AVE
Second Line :
City : DENVER
State : CO
Zip : 80221-2721
Country : US
Telephone Number : 303-650-4460
Fax Number : 720-565-4128
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2023
Last Update Date : 01/15/2026

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